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NPI Code Detail

MEDICARE: ANNE PAVELKA OTR/L

MEDICARE: ANNE PAVELKA OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist06546MD

General Provider Information

NPI Number : 1013433721
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE PAVELKA OTR/L
Provider Business Mailing Address
First Line : 1 EASTERN BLVD
Second Line :
City : ESSEX
State : MD
Zip : 21221-7016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 EASTERN BLVD
Second Line :
City : ESSEX
State : MD
Zip : 21221-7016
Country : US
Telephone Number : 410-574-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2017
Last Update Date : 08/15/2017

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Directions to “ ANNE PAVELKA OTR/L” Practice Location

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